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| Plan Name | TAM RESIDENTIAL DENTAL AND VISION PLANS |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TAM RESIDENTIAL |
| Employer identification number (EIN): | 811156354 |
| NAIC Classification: | 531310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-03-01 | MARTHA TILLEY | 2024-09-20 | ||
| 502 | 2022-03-01 | MARTHA TILLEY | 2024-06-18 |
| 2023: TAM RESIDENTIAL DENTAL AND VISION PLANS 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | This submission is the final filing | Yes |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: TAM RESIDENTIAL DENTAL AND VISION PLANS 2022 form 5500 responses | ||
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | First time form 5500 has been submitted | Yes |
| 2022-03-01 | Plan funding arrangement – Insurance | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||
| Policy contract number | 1635404 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||
| Policy contract number | 1154127 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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